血管内介入治疗颅内破裂微小动脉瘤的疗效分析  

Analysis on endovascular embolization for intracranial ruptured very small aneurysms

作　　者：孙骏[1] 喻永涛[1] 焦建同[1] 吴德权[1] 王诚[1] 邵君飞[1] SUN Jun, YU Yong-tao, JIAO Jian-tong, et al.(Department of Neurosurgery, The Affiliated Wuxi People＇s Hospital of Nanjing Medical University, Wuxi 214023, Chin)

机构地区：[1]南京医科大学附属无锡市人民医院神经外科,无锡214023

出　　处：《临床神经外科杂志》2018年第1期8-11,共4页Journal of Clinical Neurosurgery

基　　金：国家自然科学基金青年项目(81502159);国家自然科学基金面上项目(81672487)

摘　　要：目的探讨颅内破裂微小动脉瘤血管内介入治疗的可行性和疗效。方法回顾性分析39例颅内破裂微小动脉瘤患者的临床资料。所有患者均行血管内介入治疗,术后立刻再行血管造影观察治疗效果。结果术后即刻血管造影显示,致密栓塞30例(76.9%),不完全栓塞9例(23.1%),其中瘤颈残余5例和部分栓塞4例。39例患者均临床治愈出院,恢复独立生活能力。有34例患者随访时间6~12个月,DSA复查显示,25例致密栓塞患者的动脉瘤无复发;9例不完全栓塞患者中,除2例患者无变化外,其余患者均动脉瘤完全闭塞。所有患者均无动脉瘤再破裂出血。结论血管内介入栓塞治疗破裂微小动脉瘤的效果满意,是其理想的治疗方式。Objective To explore the clinical efficacy and safety of endovascular embolization for intracranial ruptured very small aneurysms. Methods The clinical data of 39 patients with intracranial ruptured very small aneurysms were analyzed retrospectively. All patients were treated by endovascular embolization. Angiography was performed immediately after embolization to test the efficacy of treatment. Results Angiography showed that complete occlusion was achieved in 30 cases（ 76. 9%）,incomplete occlusionin 9（ 23. 1%）（ aneurysm neck residue in 5 and partial occlusion in 4）. All patients were clinically cured and discharged,and restored independent living ability. 34 cases were followed up for 6-12 months with angiography test. The result showed that no recurrence was found in 25 complete occlusion cases,and in 9 incomplete occlusion cases,except 2 cases without changes,all other cases were occluded. The follow-up showed no re-bleeding occurred.Conclusions The results of follow-up are satisfactory. Endovascular embolization for intracranial ruptured very small aneurysms is safe and effective.

关 键 词：颅内微小动脉瘤 破裂 介入治疗 

分 类 号：R743.9[医药卫生—神经病学与精神病学]